上海市闵行区基层医务人员对老年人接种肺炎疫苗知识与态度的调查

Study on knowledge and attitude of primary medical personnel towards pneumonia vaccination in elderly people in Minhang District of Shanghai

目的了解上海市闵行区基层医务人员对上海市＂老年人接种肺炎疫苗项目＂以及对预防接种相关知识的掌握和态度情况。方法于2015年3月1日—5月31日对上海市闵行区13家社区卫生服务中心的全部医务人员进行全覆盖式自制问卷调查,内容包括人口学特征、对老年人接种肺炎疫苗知识和对预防接种认知和态度调查3部分。对知识掌握情况采用描述性统计,对全部题目答对率在不同因素间的比较采用χ~2检验,对全部题目答对率的影响因素采用logistic回归分析。结果回收合格问卷1 920份,合格率94.12%。明确表示知晓上海市＂老年人接种肺炎疫苗项目＂的占97.71%,主要知晓途径为＂区疾控中心业务培训＂、＂院内宣传学习＂和＂大众媒体＂。全部答对肺炎链球菌和老年人接种肺炎疫苗题目的仅有840人（43.75%）。40~54岁年龄组、医学检验组和预防保健部门的全部答对率相对较高。结论区基层医务人员对肺炎链球菌性疾病及老年人接种肺炎疫苗知识的掌握水平还有待提高。政府需进一步加强对社区卫生服务中心的基层医务人员免疫预防相关知识的培训。

[Objective]To understand the knowledge and attitude of primary medical personnel towards pneumonia vaccination of elderly people in Minhang District of Shanghai. [Methods]A self-made questionnaire investigation was performed in all medical personnel of 13 community health service centers in Minhang District of Shanghai from May1 to March 1 in 2015,and the contents included demographic characteristics,knowledge about pneumonia vaccination of elderly people,and the,cognition and attitude towards vaccination. The knowledge status was analyzed by the descriptive statistics,chi-square test was used to compare the correct answer rates among different factors,and the logistic regression analysis was used to analyze the influencing factors of correct answer rate. [Results]There were 1920 qualified questionnaires with the qualified rate of 94.12%. 97.71% of primary medical personnel clearly knew the program of pneumonia vaccination in elderly people,and the main approaches were the professional training in CDC,publicity and education in hospital and public media. Only 840 people（43.75%）correctly answered all questions of streptococcus pneumonia and pneumonia vaccination in elderly people. The correct answer rates of 40-54 year-old age group,medical testing group and preventive health care department were higher relatively. [Conclusion] The level of knowledge about streptococcus pneumonia and pneumonia vaccination in elderly people should be improved among district-level medical personnel. The government should further strengthen the training of vaccination knowledge among medical personnel in community health service centers.